HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
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BUILDING PERMIT St. E66%County
SUB -CONTRACTOR AGREEMENT 1:4.1 nrir�Cow*
St. Lucie County Contractor Certification Number: - _ —_� / H y
State of Florida Certification Number (If applicable):
TML�1 oza'e I�i�, r%r )g�ahQ&,L )`',t l,[mCf_, have agreed to be the
(Comp�an�®y Name/Individual Name) n 2��
.31'/ZrA°oi%. Sub -contractor fot �,.,
(Type of Trade) (Primary Contractor) /
For the project located at
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/state/zip:
Phone: o'J email:{hi/L>:c=./�/liri2•i�QL/i5�i/%==�'�a�
W;2U
S P TN E i1^
STATE OF FLORIDA, COUNTY OF \ L /
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 15 DAY OF 20
BY ` WHO IS PERSONALLY KNOWN OR HAS
PAUCED n AS IDENTIFICATION.
PUBLIC PRINT
SLCPDS:
TAACY KA�Y�TL�ANGEL
MY COMMISSI67tV�iFP 4�072
EXPIRES August 30, 2018
PERMIT # ISSUE DATE
•
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St Lucie County Contractor Certification Number.
State of Florida Certification Number(irapprcabtc), _ CCC-1326539
SCANNED
i ,S1 'Lucie County
CRAWFORD ROOFING, INC
(Company Namhave agreed to be the
e/Individual Name) �
ROOFING sub-contractorfor SEACOASTAIR
(Type of Trade) (Primary Contra tor)
Fortheprojectlocatedat St Lucie County Jail, 900 North Rock Road,Fort Pierce Florida
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: CRAWFORD ROOFING, INC
Address: 701 Pikes Peak Roas
City/State/Zip; Chickasha, OK 73023
Phone: 405-224-8763 email: sharon@cmwtordrooenginacom
�Q ww Johnny P Franklin January 20th, 2015
SI ATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF St Lucie
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 20th DAY OF January , 2015
BY Johnny P Franklin
WHO IS PERSONALLY KNOWN X OR HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
William O'Donnell
N
PRINT NAME OF OTARY PUBLIC
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